Senior Clinical Fellow in Toxicology & Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust; City Of London; On-site; GBP 65,000 - 74,000; Full time

Job summary

An esteemed NHS trust in London is seeking a Senior Clinical Fellow in Toxicology & Emergency Medicine. This 12-month role offers the chance to specialize in Clinical Toxicology while gaining experience in Emergency Medicine. The role is based at St Thomas' Hospital, starting February 2026. Candidates should have GMC registration and be at least at ST4 level in Emergency Medicine. Join a team dedicated to providing high-quality care and enhancing your clinical skills in a bustling metropolitan environment.

Benefits

Educational funding for relevant courses

Access to clinical research opportunities

Qualifications

• Must hold full registration with the GMC and be an ST3+ in Emergency Medicine in the UK.
• Experience in previous audit and/or research projects is preferred.

Responsibilities

• Undertake specialist training in Clinical Toxicology.
• Participate in a middle-grade rota in Emergency Medicine.
• Help deliver Clinical Toxicology education as part of the department’s portfolio.

Skills

Experience in performing procedures relevant to emergency medicine

Competent to work without supervision

Clear, logical thinking showing an analytical/scientific approach

Appropriate level of clinical knowledge

Shows knowledge of evidence-informed practice

Ability to work as part of a multidisciplinary team

Experience of clinical risk management

Demonstrates breadth of awareness of issues in emergency medicine

Interest in undertaking an OOPTE in Clinical Toxicology

Education

Eligible for registration with the GMC

MRCEM

≥ ST4 level in Emergency Medicine

BSc, BMedSci (or other intercalated degree)

ALS/ATLS instructor

ED training scheme in UK or international equivalent

Job description

Senior Clinical Fellow in Toxicology & Emergency Medicine

The closing date is 21 January 2026.

Both Guys and St Thomas' have central London locations with stunning views across the Thames and are close to many tourist attractions, such as the Houses of Parliament and the South Bank Arts Complex. Both sites have easy access to major transport links.

We are recruiting to a 12 month Out of Programme Training Experience (OOPTE) in Clinical Toxicology (ST4-7) and a Senior Fellow in Emergency Medicine. The post will be based at St Thomas' Hospital and will start from February 2026 or as soon as possible. It will enable an ST4-7 level trainee in Emergency Medicine (or an international equivalent) to develop and expand their skills in Clinical Toxicology in a specialist centre and to undertake research in Clinical Toxicology. The post will be split 50:50 between Emergency Medicine and Clinical Toxicology. The post holder will participate in the ED night (60%) and weekend rota (75%) of the fulltime post.

Main duties of the job

Clinical Toxicology: You will have the opportunity to undertake specialist training in Clinical Toxicology, with training in both inpatient and outpatient management of poisoned patients. You will have the opportunity to undertake clinical toxicology research in an area of interest of the department (e.g., recreational drug toxicity, deliberate self‑poisoning) during the OOPTE; it would be expected that this would lead to submission of paper(s) for publication. You will have the opportunity to help deliver Clinical Toxicology education as part of the department’s portfolio.

Emergency Medicine: You will participate in a middle‑grade rota working with other senior ED trainees and supervising junior middle grades, FY2s and ENPs. The Emergency Department is led by twenty‑five Adult and ten Paediatric Emergency Consultants, sees over 150,000 new patients per annum and has a separate Paediatric Emergency Department associated with the Evelina London Children’s Hospital.

About us

The post will have an educational supervisor in Emergency Medicine and an educational supervisor in Clinical Toxicology. Funding will be available to enable the post holder to attend relevant course(s). Applicants must hold full registration with the GMC and currently be an ST3+ in Emergency Medicine in the UK (or an international equivalent recognised by the RCEM). For further details please contact Professor Paul Dargan ([e-mail]).

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Job responsibilities

For further information and to apply online, please go to www.gstt.nhs.uk/jobs quoting reference number MED4686‑D.

Closing date: 21 January 2026, midnight. Please note we may close this vacancy earlier if we receive a sufficient amount of applications.

Creating a world‑leading Academic Health Sciences Centre.

Equality of Opportunity is our Policy.

Person Specification

Education/Qualifications

• Eligible for registration with the GMC
• MRCEM
• ≥ ST4 level in Emergency Medicine
• BSc, BMedSci (or other intercalated degree), other degrees/qualifications
• ALS/ATLS instructor
• ED training scheme in UK or international equivalent recognised in the UK by RCEM
• Additional experience in one or more of other related specialties (GIM, ITU/PICU)

Skills/Knowledge/Ability

• Experience in performing procedures relevant to emergency medicine
• Competent to work without supervision
• Clear, logical thinking showing an analytical/scientific approach
• Appropriate level of clinical knowledge
• Shows knowledge of evidence‑informed practice
• Shows awareness of own limitations
• Ability to work as part of a multidisciplinary team
• Experience of clinical risk management
• Understanding of clinical governance
• Demonstrates breadth of awareness of issues in emergency medicine
• Interest in undertaking an OOPTE in Clinical Toxicology and developing a specialist interest in Clinical Toxicology as part of ED training

Additional Information

• Experience of undertaking previous audit projects
• Experience of supporting more junior resident staff
• Previous audit projects with closure of loop
• Previous research projects with abstract and/or full paper publications
• Previous research in clinical toxicology

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£65,048 to £73,992 a year per annum excl. LZ

Pay

£65,048 - £73,992 pa. excl. of London Zone.